EGEN ONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047126

License Status

NOT RENEWED

Business

First Name

EGEN

Last Name

ONG

Suffix

Business Name

EGEN ONG MD

Original Issue Date

02/07/1973

Effective Date

05/26/2014

Expiration Date

07/31/2017

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017